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Healthcare Simulation
Jean-Claude Granry
GIS APLHUSS Groupement d’Intérêt Scientifique
Angers, PLateforme Hospitalo-Universitaire de Simulation en Santé
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What is Simulation ?
The term « medical simulation » means the use of
a device, such as a mannequin, a task trainer,
virtual and augmented reality, or a
standardized patient, to emulate a real
device, patient, or patient care situation or
environment to teach therapeutic and
diagnostic procedures, processes, medical
concepts, and decisionmaking to one or a
team of healthcare professionals.
House of representatives USA – 111th congress 02.2009
JCG Copenhague 10.2018
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Simulation and risk activities
Improve training
Manage risks JCG Copenhague 10.2018
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To Err is Human ...
44 000 - 98 000 deaths /year
To Err Is Human:
Building a Safer Health System Institute of Medicine - 1999
RECOMMENDATION 8.1:
Patient safety programs should: … establish interdisciplinary team
training programs, such as simulation …
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Healthcare simulation
Manikin
procedural
simulation
Digital
simulation
Manikin TB
simulation
Human
simulation
Psim PSt et PEx
Hybrid
JCG Copenhague 10.2018
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Simulation : some examples
• Central venous catheter (Barsuk JH 2009)
• Tracheal intubation (Mayo PH 2004)
• Pleural drainage (Wayne DB 2008)
• Endoscopy (Blum MG 2004)
• Laparoscopic surgery (Andreatta PB 2006)
JCG Copenhague 10.2018
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Mannequins : Simroid
Simroid "simulator humanoid"
Nippon Dental University in Tokyo
https://www.youtube.com/watch?v=WhzbFaNueKU JCG Copenhague 10.2018
ECMO Simulation Eye tracking
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Breaking bad news
and simulation
• Cancer announcement
• Announcement of a death
• Announcement of a disability… Patients look to us for knowledge, guidance, reassurance, hope, meaning, and compassion.
Patients look to us for
knowledge, guidance,
reassurance, hope, meaning,
and compassion…
JCG Copenhague 10.2018
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JCG Copenhague 10.2018
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Telehealth and simulation
- Teleconsultation, teleexpertise…
- Training in virtual contact doctor-patient
- Training in health connected objects JCG Copenhague 10.2018
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JCG Copenhague 10.2018
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Simulation and team training
JCG Copenhague 10.2018
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What is a simulation session ?...
JCG Copenhague 10.2018
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Healthcare simulation principles
• Ethical imperative
• Training of trainers
• Safety care
• Political and financial issues
• Evaluation
• Research….
JCG Copenhague 10.2018
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Patient specific medicine
JCG Copenhague 10.2018
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JCG Copenhague 10.2018
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Debriefing and patient safety
• Debriefing must be confidential
• Debriefing must be non-threatening
• Debriefing must be structured
• Debriefing must be timely
• Between health care givers
• But also with patients and their family…
JCG Copenhague 10.2018
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27 Janvier 2011
19
Groupe de travail
« Simulation »
Society for Simulation in Healthcare : simulation
program in healthcare
1. Assessment
standards 2. Research standards
3. Teaching/ Education
standards
+ 1 ou + des 3 domaines suivants
1. Mission and governance
2. Organization and management
3. Facilities, application, &
technology
4. Evaluation & improvement
5. Integrity
6. Expanding the field
1. Facilities, applications &
technology
2. Instructors/educators & staff
3. Assessment tools
4. Technical support
5. Security
1. Mission
2. Research expertise
3. Director of research
4. Research activities
5. Compliance
1. Learning activities
2. Qualified instructors/educators
3. Initial curriculum design
4. Learning environment
5. Outgoing curriculum feedback
& improvement
6. Educational credit
Core standards
4. System Integration
and Patient Safety
Optionnel si au moins 1 des
domaines si dessus sont validés :
1. Mission & Scope
2. Integration with Patient Safety Activities
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JCG Copenhague 10.2018